Dr. Aviona Goetsch PT DPT

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Dr. Aviona Goetsch PT DPT

Learn physical therapy and good habits while making life digitally easy. 📝 💻 💪
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03/02/2025

Weber Test - is to evaluate hearing loss. It determines conductive hearing loss and sensorineural hearing loss.

Sensorineural Hearing loss - the person hear the vibration sound in the unaffected ear because the damaged nerve cells in the affected ear cannot transmit the vibration sound efficiently.

Conductive Hearing loss - the person hear the vibration sound louder in the affected ear because the sound vibrations are blocked in the affected ear, which is making it easy for the person to perceive them.

02/02/2025

Why Physical Therapist uses 128 hz tuning fork?

This is for them to test the following:

1. Vibratory Sensation Testing
Used to assess peripheral neuropathy or sensory deficits, especially in patients with conditions like diabetes, spinal cord injuries, or radiculopathy. Place the tuning fork on bony prominences

2. Proprioception Assessment
Helps evaluate a patient’s joint position sense by applying the tuning fork to a bony landmark and having the patient describe when the vibration stops. This can indicate issues with dorsal column-medial lemniscus pathway dysfunction.

3. Fracture Screening (Tuning Fork Test)
Used as a non-invasive fracture screening tool. Place the tuning fork near a suspected fracture site and ask if the patient experiences increased pain. This may indicate a bone stress injury.

4. Rinne and Weber test for hearing
While these are primarily used in audiology, the Weber test (placing the tuning fork on the midline of the skull) and Rinne test (comparing air vs. bone conduction at the mastoid process) can help screen for sensorineural or conductive hearing loss, which may impact balance and vestibular function.

5. Thoracic Outlet Syndrome Screening - tuning fork is used to test for neurological compromise by assessing sensory deficits in hands and arms particularly in cases of TOS or cervical radiculopathy. Vibratory loss in the affected limb may indicate nerve compression.

02/01/2025

Say Happy New Year to Everyone!!

Welcoming the New Year with such warmth and encouragement sets a wonderful tone for the days ahead. By wishing blessings and health, you’re touching on two of life’s most cherished gifts, inspiring others to pursue their dreams with optimism and resilience. It’s a reminder to embrace the new opportunities 2025 offers while focusing on well-being and aspirations.

24/12/2024

The True Importance of Christmas Spirit: A Journal Entry

Rainy day before Christmas. As Christmas is fast approaching in our World. I was reminded of how the holiday season isn’t always about picture-perfect moments or well-laid plans. It’s about the spirit behind it all—love, togetherness, and finding joy even in the chaos.

My husband asked me yesterday if I miss something that I need on Christmas Eve. He is afraid that no store will be open. It started with a simple oversight. Between cold weather, notes, and just the busyness of life, I realized—far too late—that I hadn’t solidified my holiday plans. What started as a mild panic soon turned into a makeshift game plan. Glad some stores are still open today, some hastily scribbled lists, and voilà, I had pieced together a Christmas Eve plans. It wasn’t extravagant, but I learned that even the simplest of plans can carry so much warmth.

And I kinda notice late UPS delivery. I recognize some Christmas gift didn’t arrive. As I thought they would. A beautifully personalized Christmas greeting we wrote to our family and friends, and for some reason UPS just couldn’t get it on time. The thought of it, I was disappointed. But then I thought about I tried and its the thought that counts. As long as it would arrive soon.

This year’s unexpected twists and turns reminded me of something important. Christmas isn’t about PERFECTION. It’s about the spirit we bring to it—being present, embracing imperfections, and finding joy in the moments that don’t go as planned. The late preparations, the impromptu solutions, and even the missed deliveries became memories, engrave with love and smiles.

So, this Christmas, as I sit and ponder and look at the Christmas tree entry for 2024, I won’t focus on what went wrong or what was late. Instead, I’ll be grateful for the messy, magical beauty of it all.

P.S: Thanks to the people who extended their Christmas love greetings to us.

16/12/2024

Hope begins in the dark, the stubborn hope that if you just show up and try to do the right thing, the dawn will come. You wait and watch and work: you don’t give up.

- Anne Lamot, author of Help, Thanks, Wow: The Three Essential Prayers.

13/12/2024

Unique Tongues:

Just like fingerprints, your tongue print is unique!

12/12/2024

Nose Supercomputer:

Your nose can distinguish about 1 trillion different scents.

11/12/2024

Brain Freeze Alert:

A “brain freeze” happens when something cold hits the roof of your mouth, triggering a quick dilation and constriction of blood vessels.

10/12/2024

Eyes are Fast:

The muscles in your eyes are the most active, moving over 100,000 times a day.

09/12/2024

Taste Bud Retirement:

Your taste buds are replaced every 10 to 14 days. Out with the old, in with the new!

06/12/2024

Blood Marathon

Your blood travels about 12,000 miles every day through your body—that’s like traveling halfway around the Earth!

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